TY - JOUR
T1 - National Asthma Education Prevention Program
T2 - Survey of Nurse Practitioners' Knowledge, Attitudes, and Behaviors
AU - O'Laughlen, Mary C.
AU - Rance, Karen
AU - Rovnyak, Virginia
AU - Hollen, Patricia J.
AU - Cabana, Michael D.
PY - 2013/3/1
Y1 - 2013/3/1
N2 - Introduction: Much has been written regarding poor physician adherence to the National Asthma Education, Prevention Program (NAEPP) guidelines, but no data are available regarding nurse practitioners (NP) adherence. This descriptive study compared NP adherence to figures reported for medical doctors (MDs) in the 2001 and 2007 analyses by Cabana and colleagues. Method: A national, cross-sectional survey approach was used to assess NP knowledge, attitudes, and behaviors regarding the NAEPP guidelines. The survey was adapted from Cabana's 48-item questionnaire. Results: NPs provided more prescriptions of inhaled corticosteroids (ICSs) to patients with daily symptoms than did physicians (NPs, 79%; MDs, 54%). Overall, compared with MDs, NPs reported higher adherence on three of the four NAEPP guideline components surveyed, two of which were statistically significant. Discussion: This survey suggests that NPs have greater adherence to prescribing ICSs than do MDs. However, improved adherence still needs to be a goal for all providers because prescription of ICSs is the cornerstone of management of persistent asthma.
AB - Introduction: Much has been written regarding poor physician adherence to the National Asthma Education, Prevention Program (NAEPP) guidelines, but no data are available regarding nurse practitioners (NP) adherence. This descriptive study compared NP adherence to figures reported for medical doctors (MDs) in the 2001 and 2007 analyses by Cabana and colleagues. Method: A national, cross-sectional survey approach was used to assess NP knowledge, attitudes, and behaviors regarding the NAEPP guidelines. The survey was adapted from Cabana's 48-item questionnaire. Results: NPs provided more prescriptions of inhaled corticosteroids (ICSs) to patients with daily symptoms than did physicians (NPs, 79%; MDs, 54%). Overall, compared with MDs, NPs reported higher adherence on three of the four NAEPP guideline components surveyed, two of which were statistically significant. Discussion: This survey suggests that NPs have greater adherence to prescribing ICSs than do MDs. However, improved adherence still needs to be a goal for all providers because prescription of ICSs is the cornerstone of management of persistent asthma.
KW - Adherence
KW - Asthma
KW - NAEPP guidelines
KW - Nurse practitioners
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U2 - 10.1016/j.pedhc.2011.07.005
DO - 10.1016/j.pedhc.2011.07.005
M3 - Article
C2 - 23414981
AN - SCOPUS:84873987515
SN - 0891-5245
VL - 27
SP - e17-e24
JO - Journal of Pediatric Health Care
JF - Journal of Pediatric Health Care
IS - 2
ER -